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Causal association between sleep phenotypes and susceptibility to childhood asthma: A two-sample Mendelian randomization study.

Created on 17 Aug 2026

Authors

Li Yin, Feifei Zhang, Fang Li, Mimi Gao, Anna Liu, Xue Wang

Published in

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology. Volume 37. Issue 8. Pages e70446.

Abstract

This study applied two-sample Mendelian randomization (MR) to elucidate causal relationships between sleep-related phenotypes and childhood asthma risk.
Instrumental variables for daytime napping, sleep disorders, chronotype, and fatigue were selected from European ancestry genome-wide association studies. Causal estimates were primarily derived using inverse-variance weighting (IVW), supplemented by sensitivity analyses including MR-Egger and MR-PRESSO. Instrument validity, heterogeneity, pleiotropy, and directionality were rigorously evaluated.
IVW results demonstrated that genetic susceptibility to daytime napping (OR = 1.76; 95% CI: 1.07-2.88; p < .05), sleep disorders (OR = 1.35; 95% CI: 1.12-1.61; p < .05), and frequent fatigue (OR = 2.94; 95% CI: 1.61-5.38; p < .05) significantly increased asthma risk, whereas morning chronotype was protective (OR = 0.76; 95% CI: 0.61-0.98; p = .015). Sensitivity analyses supported these findings, with no evidence of pleiotropy or reverse causation.
These results suggest that sleep behaviors causally influence childhood asthma risk and may represent modifiable targets for prevention and management.

PMID:
42605205
Bibliographic data and abstract were imported from PubMed on 17 Aug 2026.

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